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1104200922
KEITH WONG
HARBOR CITY, CA
NPI
1104200922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A145273)
Enumeration Date
2015-07-10
Last Update Date
2019-03-02
Business Address
Dr. KEITH WONG M.D., M.S
1403 LOMITA BLVD SUITE 100
HARBOR CITY, CA 90710-2076
Phone number: 310-534-7600
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Mailing Address
Dr. KEITH WONG M.D., M.S
150 W HEDDING ST
SAN JOSE, CA 95110-1706
Phone number:
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